BedsideNotes: Engaging families to improve pediatric safety

项目总结/摘要 这个职业发展建议将提供米歇尔·凯利博士，儿科住院医师在 威斯康星州大学医学与公共卫生学院，提供以下方面所需的培训和指导： 作为一个独立的，利用工具和技术支持家庭的医生科学家取得成功 参与提高住院儿童护理的质量和安全。凯利博士一直致力于 促进家庭参与，包括重新设计医院查房，将家庭包括在内，并实施 bedside portal -一个在线应用程序，使家庭能够访问他们孩子的住院医疗记录的一部分。 她获得了临床研究硕士学位，培养了进行文献综述、分析 定量数据，设计临床和转化研究。在此基础上，她提出 K 08职业发展计划侧重于三个知识缺口：定性方法，以人为本的设计 支持卫生宣传和扫盲的干预措施，以及系统地实施干预措施， 评价与此奖项提供的课程，参加国家会议的保护时间 凯利博士将获得发展和传播医疗保健所需的关键技能 干预措施。在她提出的研究计划中，她将开发BedsideNotes作为模型干预， 实现包。该捆绑包将包括扩展床边门户，以共享住院医生的 与家人一起记录入院和进展情况，并制定补充实施战略， 家庭参与，同时减轻意想不到的负面后果。她将使用 这些目标：1）确定家庭和临床医生的观点的障碍，促进者和战略，以分享住院 2）制定BedsideNotes设计要求; 3）实施并评估可行性 以及BedsideNotes在一项针对住院儿童家庭的试点研究中的初步疗效。这一拟议 研究直接响应NOT-HS-13-011，并涉及多个研究领域，包括卫生IT设计 并将提供初步数据，说明卫生信息技术的使用和对家庭的影响 参与和患者安全结果。作为一个拥有广泛研究基础设施的机构的教师，博士。 凯利是在一个理想的环境中完成这项拟议的研究和追求先进的培训。她的职业生涯 发展计划包括受保护的课程时间和专家团队的指导， 人为因素和系统工程，病人安全，定性方法，健康沟通/素养， 儿科伦理学和卫生信息技术干预的设计、实施、评估和传播。结束时 在这个项目中，凯利博士将有必要的初步数据来支持一个有竞争力的R 01提案，其中 她将测试这种干预是否改善了家庭参与和安全问题报告。K08 该奖项还将使她能够实现独立领导一个利用工具和 技术，以提高住院儿童的护理安全，AHRQ的优先人群。

PROJECT SUMMARY/ABSTRACT This career development proposal will provide Dr. Michelle Kelly, a Pediatric Hospitalist Physician at the University of Wisconsin School of Medicine and Public Health, with the training and mentorship required for success as an independent, physician-scientist leveraging tools and technologies supporting family engagement to improve the quality and safety of care of hospitalized children. Dr. Kelly has championed efforts to promote family engagement, including redesigning hospital rounds to include families and implementing a bedside portal – an online application giving families’ access to parts of their child’s inpatient medical record. She has attained an MS in Clinical Investigation to develop skills in conducting literature reviews, analyzing quantitative data, and designing clinical and translational studies. Building on this foundation, her proposed K08 career development plan focuses on three knowledge gaps: qualitative methods, human-centered design of interventions to support health communication and literacy, and systematic intervention implementation and evaluation. With the protected time afforded by this award for coursework, participation in national meetings and mentored research, Dr. Kelly will attain the critical skills necessary to develop and disseminate healthcare interventions. In her proposed research plan, she will develop BedsideNotes as a model intervention and implementation bundle. This bundle will consist of expanding the bedside portal to share inpatient doctors’ admission and progress notes with families and complementary implementation strategies to optimally support family engagement while mitigating unintended negative consequences. She will develop this bundle using these aims: 1) identify family and clinician perspectives of barriers, facilitators and strategies to share inpatient doctors’ notes; 2) develop BedsideNotes design requirements; and 3) implement and evaluate the feasibility and preliminary efficacy of BedsideNotes in a pilot study with families of hospitalized children. This proposed study responds directly to NOT-HS-13-011 and addresses multiple research areas, including health IT design and implementation, and will provide preliminary data describing the use and impact of health IT on family engagement and patient safety outcomes. As faculty at an institution with extensive research infrastructure, Dr. Kelly is in an ideal environment to complete this proposed research and pursue advanced training. Her career development plan includes protected time for coursework and mentorship from a committed team of experts in human factors and systems engineering, patient safety, qualitative methods, health communication/literacy, pediatric ethics, and health IT intervention design, implementation, evaluation and dissemination. At the end of this project, Dr. Kelly will have the preliminary data necessary to support a competitive R01 proposal in which she will test whether this intervention improves family engagement and safety concern reporting. This K08 award will also allow her to achieve her goal of independently leading a program leveraging tools and technologies to improve the safety of care of hospitalized children, an AHRQ priority population.